Strangulated Morgagni’s Hernia: A Rare Diagnosis and Management

Modi, Malav; Dey, Amit; Mate, Ajay; Rege, Samir

doi:10.1155/2016/2621383

Cited by 13 publications

(19 citation statements)

References 8 publications

(13 reference statements)

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“…7 In 90% of cases Morgagni hernias are seen on the right side while in 2% cases on the left side and almost 8% cases are bilateral. 7 It has been reported that almost 70 % cases of Morgagni hernias are females. 3 Although cases of Morgagni hernia can present in early childhood with respiratory symptomatology, most of the cases remain asymptomatic and are detected later in life.…”

Section: Discussionmentioning

confidence: 96%

“…1 Morgagni hernias occur due to failure of fusion of the fibro-tendinous elements of diaphragm, that is, sternal and costal attachments, which leaves behind a muscle-free area known as the costosternal trigone or the space of Larrey or Morgagni's foramen through which the hernia occurs eventually. 7 Morgagni hernias are more common on the right side than the left due to extensive pericardial attachments on the left diaphragm. 7 In 90% of cases Morgagni hernias are seen on the right side while in 2% cases on the left side and almost 8% cases are bilateral.…”

Section: Discussionmentioning

confidence: 99%

“…7 Morgagni hernias are more common on the right side than the left due to extensive pericardial attachments on the left diaphragm. 7 In 90% of cases Morgagni hernias are seen on the right side while in 2% cases on the left side and almost 8% cases are bilateral. 7 It has been reported that almost 70 % cases of Morgagni hernias are females.…”

Section: Discussionmentioning

confidence: 99%

“…3 Although cases of Morgagni hernia can present in early childhood with respiratory symptomatology, most of the cases remain asymptomatic and are detected later in life. 7 In most of the cases symptoms are usually respiratory followed by gastrointestinal. 6 Symptomatic adult cases of Morgagni hernia are very rare with majority of the symptomatic cases presenting as life threatening obstruction or strangulation.…”

Section: Discussionmentioning

confidence: 99%

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Obstructed right Morgagni hernia with multiple congenital anomalies: a rare presentation

et al. 2020

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Congenital diaphragmatic hernias occur in 1 in 3500 live births. Among the congenital diaphragmatic hernias, morgagni hernias are the rarest accounting for 2-3% of all diaphragmatic hernias. They occur through a congenital defect in the anterior part of the diaphragm just behind the sternum. In most cases the defect in the diaphragm is small and the patient may remain asymptomatic. The occurrence of obstruction or strangulation in these hernias is a rare occurrence. We report a rare case of right sided Morgagni hernia in a 14 years old boy who presented with features of subacute intestinal obstruction. Chest X-ray showed a large right sided diaphragmatic hernia with stomach and bowel loops compressing the right lung. A contrast enhanced computed tomography (CT) scan indicated large right sided diaphragmatic hernia containing gastric volvulus with twisted small bowel loops causing right lung collapse, and congenital anomalies of the right kidney and liver. The patient underwent exploratory laparotomy with an upper midline incision with reduction of hernia and primary repair of the diaphragmatic defect found in the anterior aspect of right diaphragm without placement of a mesh. An ICD was placed in right thoracic cavity to allow the lung to expand. Due to inadequate lung expansion a second ICD was placed in the right third intercostal space on the 9th post-operative day and removed on the 18th post-operative day. Patient was discharged with a single ICD on 20th post-operative day which was removed on first follow up. Patient was asymptomatic and recovered well subsequently.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Obstructed right Morgagni hernia with multiple congenital anomalies: a rare presentation

et al. 2020

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“…In the case of adults, women are more predisposed, as in our group. In adults, even the elderly, HM is incidentally discovered (81 asymptomatic cases published), imagistically or intraoperatively; or in the case of complications (2%) (intestinal or colon intestinal occlusion, gastric volvulus, large epiploon incarceration) (9,10). In 50% of cases, predisposing factors are encountered: obesity, multiparity, chronic obstructive pulmonary disease, constipation (11).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Management in Morgagni Hernia - Short Series and Review of Literature

Târcoveanu¹,

Georgescu²,

Vasilescu³

et al. 2018

chr

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Morgagni hernia occurs after a congenital retrosternal diaphragmatic defect; it is a rare form of diaphragmatic hernia (1-3% of cases). In general, this pathology is diagnosed in children; in adults it is frequently discovered in emergency or incidentally. We prospectively evaluated a series of 8 patients admitted to First Surgical Clinic, St. Spiridon Hospital, Iasi during the period 2011-2017. Out of 8 patients, 6 were operated on, one patient refusing surgery (followed periodically); the patient who was 91 years old had serious associated diseases that made surgery contraindicated. Symptomatology was nonspecific: in 5 cases Morgagni hernia was discovered during the exploration of an associated pathology, either with cardiopulmonary symptoms of dyspnea or palpitations. In 2 cases, the clinical aspect suggested an occlusive syndrome (the herniated organ is usually the transverse colon). The laparoscopic approach was used in all cases: two conversions were recorded due to the tight adherences of the herniated viscera (gastric, colon, epiplon). In 4 cases, the surgical cure of hernia was performed by suture and in 2 cases with prosthesis: dual mesh in one case and polypropylene mesh in another case. We did not register morbidity and the mean postoperative stay was 4 days (range 2-6 days). Hernia Morgagni betrays a rare pathology. The most common is asymptomatic but in complicated cases it is a cause of acute surgical abdomen. Surgical treatment is indicated even for asymptomatic cases due to serious complications Morgagni hernia may develop. The laparoscopic approach is ideal, as reduction of viscera in the abdomen is easy and the defect will be repaired by suturing or using a prosthesis, depending on its size.

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